CMS Price Transparency Data

Colorectal cancer screening

Facility: Lafayette Regional Health Center

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $34
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at Lafayette Regional Health Center is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.71x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)
Cash / Self-Pay: $69 (144%)
Insurance Median: $34 (71%)
Cash: $69 (144% of Medicare)
Ins. Median: $34 (71% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Ambetter / Centene $13 27%
Nhc Advantage $13 27%
Healthyblue $14 29%
United $17 - $48 36%
Aetna $18 - $60 38%
Humana $23 - $30 48%
Blue Cross Blue Shield $26 - $69 54%
College Park Family Care Center $30 63%
Oscar $34 71%
Oha Network $34 71%
Cigna $39 - $49 82%
Universal Healthcare $48 100%
Wppa Providrs Care Network $52 109%
Multiplan $54 113%
Coventry $55 115%
Coventry Kc Mo $55 115%
Corvel Corporation $59 123%
Cco, Inc. $59 123%
Focus Healthcare Mgmt, Inc $62 130%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 State Street, Lexington, MO 64067
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals